Developing a protocol and experimental setup for using a humanoid robot to assist children with autism to develop visual perspective taking skills

Visual Perspective Taking (VPT) is the ability to see the world from another person's perspective, taking into account what they see and how they see it, drawing upon both spatial and social information. Children with autism often find it difficult to understand that other people might have perspectives, viewpoints, beliefs and knowledge that are different from their own, which is a fundamental aspect of VPT. In this research we aimed to develop a methodology to assist children with autism develop their VPT skills using a humanoid robot and present results from our first long-term pilot study. The games we devised were implemented with the Kaspar robot and, to our knowledge, this is the first attempt to improve the VPT skills of children with autism through playing and interacting with a humanoid robot. We describe in detail the standard pre- and post- assessments that we performed with the children in order to measure their progress and also the inclusion criteria derived from the results for future studies in this field. Our findings suggest that some children may benefit from this approach of learning about VPT, which shows that this approach merits further investigation.Peer reviewe

Adolescence, autism and technology: how technology can impact the social lives and wellbeing of adolescents with an autism diagnosis

Section A Section A is a narrative review of social skills interventions that have been used to enhance the social skills of adolescents with a diagnosis of autism. The review examined the types of interventions used as well as their efficacy, acceptability and generalisability. Exploration of the research revealed some limited evidence supporting the use of technology-delivered social skills interventions. Interventions offered little benefit over in-person interventions and limited generalisability. However, such interventions were positively received by young people which may improve intervention adherence. Clinical and research implications are provided. Section B Section B is a mixed-methods study examining the social media experiences of 222 adolescents with and without autistic traits. Participants’ views on the advantages and disadvantages of using social media and its impact on their social life were collected. A number of hypotheses concerning social media’s impact on social capital and wellbeing were tested, including the moderating role of autistic traits. Results show that social media use can have a positive impact on adolescents’ social lives and improve online social capital. Its impact on wellbeing appeared to vary depending on autistic traits. Findings are discussed in terms of their implications for clinical practice. Limitations are considered and implications for future research are provided

Prepoznavanje in izražanje čustev: težave otrok z motnjo avtističnega spektra pri učenju tujega jezika in kako jih rešiti

Recognising emotions, facial expressions and tone of voice and body language, expressing and managing their own emotions, and understanding and responding to other people\u27s emotions are often difficult for children with autism spectrum disorder. Since the emotional codes of individuals with autism spectrum disorder are different, those people will possibly be awkward in expressing some throughout their lives. Although it might seem that children with autism spectrum disorder do not respond emotionally, the ability to understand their facial expressions could lead to an improvement in their social interaction difficulties. In addition, since autistic expressions might be unique to each child, recognising their emotions is important when delivering a personalised intervention to a child with autism spectrum disorder. In recent decades, researchers have become increasingly interested in the role of emotions in learning and teaching a foreign language beyond heavily investigated topics such as foreign language anxiety and motivation and attitudes towards the foreign language. In this paper, how emotions impact the motivation and success of children with autism spectrum disorder while they are learning a foreign language is presented. Challenges, opportunities and future research directions in this domain are given. (DIPF/Orig.

Improving social and behavioural functioning in children with autism spectrum disorder: a videogame skills based feasibility trial

This thesis assessed the feasibility of using specifically designed video-games to improve functioning in children with autism spectrum disorder. The findings provide preliminary evidence supporting the use of Whiz Kid Games (a freely accessible, online, video-game based intervention) for improving both social and behavioural functioning in children aged 6-12 who have been diagnosed with autism.<br /

Aspects of Joint Attention in Autism Spectrum Disorder: Links to Sensory Processing, Social Competence, Maternal Attention, and Contextual Factors

Background. Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social interaction, communication, and restricted and repetitive behaviors (American Psychiatric Association, 2013). Given the heterogeneity of ASD it is important to understand individual differences within the disorder that are related to cognitive and language development, and how such differences may be related to differences in caregiver behavior or aspects of the social environment. Joint attention is an important component of early social communication and is considered to be a “core deficit” of ASD (Kasari, Freeman, Paparella, Wong, Kwon, & Gulsrud, 2005). Individual differences in joint attention during infancy have been shown to relate to language and cognitive development (Mundy, Block, Delgado, Pomares, Van Hecke, & Parlade, 2007; Nichols, Martin, & Fox, 2005). Therefore, joint attention serves an essential role in the study of child behavior within ASD across development. The present study consists of two manuscripts that explored how joint attention in children with ASD related to sensory responsiveness and social competence (Study 1), and how child joint attention related to mother attention and contextual factors (Study 2). Specifically, Study 1 investigated relations among children's sensory responses, dyadic orienting, joint attention, and their subsequent social competence with peers. Participants were 38 children (18 children with autism spectrum disorder (ASD) and 20 developmentally matched children with typical development) between the ages of 2.75 and 6.5 years. Observational coding was conducted to assess children's joint attention and dyadic orienting in a structured social communication task. Children's sensory responses and social competence were measured with parent report. Group differences were observed in children's joint attention, sensory responses, multisensory dyadic orienting, and social competence, with the ASD group showing significantly greater social impairment and sensory responses compared with their typical peers. Atypical sensory responses were negatively associated with individual differences on social competence subscales. Interaction effects were observed between diagnostic group and sensory responses with diagnostic group moderating the relation between sensory responses and both joint attention and social competence abilities. Study 2 investigated relations between child joint attention and mother attention during three social contexts (competing demands, teaching, and free play) among 44 children with ASD between the ages of 2.5 and 5.6 years, and their mothers. Observational coding was conducted to assess children’s joint attention and mother’s dyadic orienting. Children’s expressive and receptive language was measured by teacher report. The rate of children’s joint attention, and mothers’ dyadic orienting differed depending on the context of their interaction. Children’s joint attention, expressive and receptive language, age, and ASD severity, and mother dyadic orienting were related, and these relations differed by context. Child initiating joint attention (IJA) was also related to mother attention, and this relation was moderated by the child’s expressive and receptive language. A temporal contingency was revealed for the association between child IJA and mother attention with a bi-directional association such that child IJA predicted subsequent mother attention, and mother attention predicted subsequent child IJA. When the sample was split by children’s language ability (i.e., minimally-verbal and verbal groups) there was a group by receptive language, and a group by expressive language interaction on the contingency between child IJA and subsequent mother attention. Conclusion. The results from study 1 and study 2 suggest that individual differences in children with ASD, including their sensory responses and social competence, as well as mother attention and contextual factors are related to children’s joint attention. When addressing theory and interventions for children with ASD, it is important to consider children’s language and sensory sensitivities, the demands of the interactive context, and factors related to mother attention and approach to her child

Sociality in Autism: Building Social Bridges in Autism Spectrum Conditions through LEGO® Based Therapy

Background: Autism Spectrum Conditions are associated with difficulties in core social communication and social interaction (American Psychiatric Association, 2013) and comorbid psychopathology (Simonoff, Pickles, Charman, Chandler, Loucas & Baird, 2008). These problems are often exacerbated in middle childhood and adolescence owing to the increased complex social milieu for children on the spectrum. The present study aimed to evaluate the effectiveness of a short-term LEGO®-based therapy for children and adolescents with high functioning Autism Spectrum Conditions. Another interesting and novel aspect of this study is the application of repertory grid technique (Kelly, 1955) to explore psychological changes in construing over the course of the LEGO®-based therapy. Methods: Twenty-five high functioning children and adolescents with Autism Spectrum Conditions (M =12.40, SD = 2.02) took part in an eight-week, clinic based LEGO®-based therapy sessions within an outpatient, mental health setting. Baseline, pre- and post-intervention outcome measures, including parent- and self-reports and repertory grid technique, were administered to assess changes during the eight-week baseline period with that during the eight-week intervention period in the area of autism specific social behaviours, adaptive functioning, psychopathology, and construing. Results: On average, participants made significant gains across autism specific social behaviours, adaptive social and maladaptive behaviour, psychopathology, and coping following LEGO®-based therapy but not during the baseline period. In addition, participants also showed some changes in construing, including the way they viewed themselves and person with ASC, a loosening of construing and an overall change in construing from pre- to post- intervention. Effect sizes (Pearson’s r) for these statistical significant results ranged from medium to large. Correlations between construing and psychopathology were also noted but not for autism-specific social behaviours or adaptive functioning. Conclusions: Overall, LEGO®-based therapy was a highly attended group (M = 89.5%) and well received by participants and their parents. These findings suggest that LEGO®-based therapy is feasible, cost-effective and can be set up in mental health services as part of the treatment plan for children and adolescents with high functioning Autism Spectrum Conditions. Future studies should focus on the effectiveness of LEGO®-based therapy with girls on the spectrum or children with social related conditions and conduct large scale randomised controlled trials

Efficacy of musical interventions on social, maladaptive and language outcomes in children with autism spectrum disorder, a systematic review and meta-analysis

Un nombre croissant d’études indique que les interventions musicales (IMs) ont des effets bénéfiques sur les enfants et adolescents atteints d’un trouble du spectre de l’autisme (TSA). À ce jour, aucune revue systématique utilisant une approche méta-analytique n’a investigué l’efficacité des IMs sur trois des symptômes prédominants du TSA, soit le fonctionnement social, les comportements mal-adaptés et le langage. Dans ce mémoire, tous les 17 articles scientifiques comparant les IMs à des interventions non-musicales (INMs) ont été décrits systématiquement et évalués selon les lignes directrices de CONSORT. Onze études répondaient aux critères d’inclusion des présentes méta-analyses, chacune rapportant des mesures d’évaluations longitudinales ou d’évaluations pendant les sessions. Les résultats des méta-analyses ont démontré un bénéfice des IMs chez le TSA, particulièrement pour les mesures des comportements sociaux mal-adaptés. Une comparaison entre les IMs et les INMs indiquait un avantage pour les IMs comparément aux INMs en ce qui concerne les comportements sociaux, mais aucun avantage pour les comportements mal-adaptés non-sociaux et le langage. La revue systématique a révélé des lacunes méthodologiques des études évaluées, telles que des tailles d’échantillons restreintes, des durées et intensités d’interventions limitées, un manque d’information à propos des échantillons et des critères d’appariement, puis le biais d’attrition. La combinaison de cette revue systématique et des méta-analyses a permis une mise à jour de l’évaluation des preuves de l’efficacité des IMs pour les jeunes ayant un TSA, ainsi que de donner des recommandations aux chercheurs et cliniciens afin d’améliorer la pratique dans ce domaine.There is considerable interest in using music interventions (MIs) to address core impairments present in children and adolescents with autism spectrum disorder (ASD). An increasing number of studies suggest that MIs have positive outcomes in this population, but no systematic review employing meta-analysis to date has investigated the efficacy of MIs across three of the predominant symptoms in ASD, specifically social functioning, maladaptive behaviors and language impairments. In this thesis, all available peer-reviewed studies (n = 17) comparing active MIs to non-music interventions (NMIs) were systematically summarized and evaluated using quality assessment based on the CONSORT statement. Eleven studies fulfilled inclusion criteria for meta-analysis, which differentiated between within-session and longitudinal outcomes. The quantitative analyses results supported the effectiveness of MI in ASD, and particularly for measures sensitive to social maladaptive behaviors. Comparing between MI and NMI, the results were generally suggestive of benefits of MI over NMI for social outcomes, but did not find benefits for non-social maladaptive behaviors or language outcomes. The systematic review revealed important methodological issues present in these studies, such as small sample sizes, restricted durations and intensities of interventions, missing sample information and matching criteria, and attrition bias. Together, the combined systematic review and meta-analyses provided an up-to-date evaluation of the evidence for MI’s benefits in ASD children and provide key recommendations for future clinical interventions and research about best practice in the domain

The role of inhibitory control in the cooperative play of high-functioning children with autism

This thesis contributes to the executive dysfunction account of autism by demonstrating that impairments in inhibitory control, an aspect of executive functioning, are partially responsible for deficits in the cooperative play of highfunctioning children with autism (HFA). As past research on whether inhibitory control is impaired in autism has been inconclusive, a meta-analysis of 42 empirical studies (57 effect sizes, total n = 2,256) was conducted, which provided clear evidence for impaired inhibition in HFA children. It was also found that the degree of impairment shown does not vary across measures of inhibition, which has important methodological implications for future research. Two experimental studies were carried out to directly test the link between inhibition and three components of cooperation: reciprocity, accepting the play partner’s input, and fairness. In study one, HFA children in primary school and agematched typically-developing (TD) peers were tested on engaging in joint attention, theory of mind (ToM), measures of inhibition, and a cooperative drawing task. The groups did not differ on first-order ToM and joint attention, but HFA participants demonstrated poorer inhibitory control and less cooperative behaviour. Importantly, the degree of impairment in inhibitory control predicted reciprocity and accepting the play partner’s input in HFA children. The second experimental study investigated whether poor inhibitory control can explain the well-established discrepancy between moral reasoning and actual sharing behaviour. A sample of HFA and TD children of primary school age completed a moral reasoning interview, inhibitory control tasks, and a Dictator Game. The results showed that while HFA children demonstrated age-typical levels of moral reasoning and sharing, inhibitory control emerged as the most important predictor of sharing behaviour, lending support to the hypothesis that the ability to suppress one’s own desires is a prerequisite of acting considerately. The last study comprises a qualitative investigation of TD children’s experience of engaging in cooperative play with their sibling who has a diagnosis of HFA. Six children between the ages of 5 and 11 were interviewed, and their reports analysed using interpretative phenomenological analysis (IPA). Five themes emerged: poor emotion regulation, restricted interests, and no acceptance of the playmate’s contributions reduced the hedonistic value of joint play for the participants, but these were mitigated by appreciation for the HFA sibling’s creativity and adjustment to the HFA sibling’s behavioural atypicalities. These results can inform the development of support programmes for TD siblings and social skills training for HFA children. Overall, the results of the studies included in this thesis provide evidence that deficits in inhibitory control moderate the relationship between relatively intact social knowledge and impaired social competence in HFA children. This refinement of the executive dysfunction account is a useful building block for an improved multiple-deficit model of the autism phenotype